Author: edquestions

Injury Trauma and Erectile Dysfunction Question:

Hey there, I was in a head-on crash 18 years ago and was left ED due to trauma. I have tried ED pills, injections and have seen several unhappy women leave my life… it’s been 18 years since my near fatal accident.

I have orgasms but cannot get fully erect. I have pretty much given up unless she likes to play with toys. Is there anything that could be tried that may help?

Thanks, Andy

DOCTOR ALSAYES ANSWER:

Hi Andy,
I’m very sorry to hear that. Yes, there are many options for such a case.

Usually, we start with oral medications (such as Viagra) if the natural erection doesn’t recover on its own, but these medications don’t work well for every case, thus 2nd choice we may try is injections (such as Bi-Mix and Tri-Mix).

If these 2 options didn’t provide much improvement, we consider penile implants. There are 2 main types of these implants; semirigid and inflatable. Each type works differently and has various pros and cons.

In most cases, patients report a satisfaction rate of 80%-90% with penile implants as they have erections suitable for intercourse.

However, you should know; the placement of penile implants requires surgery, and no surgery is totally free of possible complications or risks, and in this case, they may include:
• Uncontrolled bleeding after the surgery possibly leading to re-operation
• Infection
• Scar tissue formation
• Erosion (tissue around the implant may break down)
• Mechanical failure (The implants consist of many parts that could malfunction, however, the 10-year device survival is between 60 and 80 percent)

I’d suggest you speak to your doctor about penile implants and which type would be more suitable for you.

I hope this answers your question.

Cialis Dosage Question:

What would happen if I take 2 Cialis at the same time?

Thanks, James

DOCTOR ALSAYES ANSWER:

Hello James,
First let’s make something very clear, for Cialis, the maximum recommended dosing frequency is once per day, taking Cialis more than once per day or above the recommended dose will increase the risk of having side effects (such as headache, stomach upset, back pain, muscle pain, stuffy nose, flushing, or dizziness).

However, taking 2 tablets of 5mg at the same time is not considered as if you did take it twice a day, it would be the same as if you took 1 tablet of 10mg one time a day.

I suggest you start with 10mg. If you find that the 10mg tablet is too weak, you can ask your doctor if you can take the 20mg dose instead.
Likewise, if you find that you experience side effects when using the 20mg dosage you can switch to the lower 10mg dose to see if you tolerate it better.

I hope this answers your question.

ED Problems and Generic Viagra Question:

I have been having ed problems for a while.. I recently had got a script of generic viagra from my pharmacy. Tried it once, Can’t say it worked well because I was eating at the time. I’ve been wondering the best option to use or the best option in general. I’ve been purging somewhat for a couple of weeks. Next time I want to try it on a completely empty stomach. Do you think it’ll do its job? Also is anything above 125mg safe?

Thanks, James

DOCTOR ALSAYES ANSWER:

Actually, it is recommended to take the Viagra on an empty stomach or at least two hours after eating the last meal, and 1 hour before the intercourse.
It takes around 30-60 minutes for Viagra to make the effect, but this duration can be affected by food or alcohol.

You should know that eating any meal before you take Viagra would cause it to make the effect more slowly. Also, fatty meals are the enemy of Viagra, they can make it harder for the medicine to reach the bloodstream.
So if you take Viagra right before the sexual activity it won’t work very well, also if you had some wine or just had dinner before taking the Viagra that will make it take more time to work so you see the results later on at night.

Yes, in most cases oral ED medications (like Viagra or Cialis) can solve the issue, but you should start with the minimum dose of Viagra (25 mg), if the effect was not noticeable, then you can try Viagra 50 mg the next time.

I hope this answers your question.

Levitra Dosage Question:

Can I take another dose of Levitra 20 mg 12 hours after taking a previous dose?

Thanks, Hazza

DOCTOR ALSAYES ANSWER:

Hello Hazza,
No, Levitra should not be taken more than once daily. Doses should be taken at least 24 hours apart. Taking Levitra more than once per day or above the recommended dose will increase the risk of having side effects.

I hope this answers your question.

Levitra Dosage Question:

Can I take another dose of Levitra 20 mg 12 hours after taking a previous dose?

Thanks, Hazza

DOCTOR ALSAYES ANSWER:

Hello Hazza,
No, Levitra should not be taken more than once daily. Doses should be taken at least 24 hours apart. Taking Levitra more than once per day or above the recommended dose will increase the risk of having side effects.

I hope this answers your question.

Adderall and ED QUESTION:

I take Adderall 25 mg twice daily. I can’t get hard and if I do it doesn’t stay hard. My gf thinks it’s her and it not. How can I fix this problem before I lose the love of my life?

Thanks Justin

DOCTOR ALSAYES ANSWER:

Hi Justin,
Erectile dysfunction is a well-known side effect for men taking Adderall, mainly because the medication is constriction of certain blood vessels in the body, directing blood away from the extremities, and increasing the blood supply to other parts of the body, which means that there is a decrease in blood flow to the penis. However; this is temporary.

Typically, once the effects of the medication have worn away, sexual desire and performance return to what was normal for you.

Kindly check with your doctor, because here you have 2 options, either changing the Adderall dose or replacing it with another medication that is unlikely to affect your sexual life, OR trying one of the oral ED medications (like Viagra or Cialis).

I hope this answers your question.

Adderall and ED QUESTION:

I take Adderall 25 mg twice daily. I can’t get hard and if I do it doesn’t stay hard. My gf thinks it’s her and it not. How can I fix this problem before I lose the love of my life?

Thanks Justin

DOCTOR ALSAYES ANSWER:

Hi Justin,
Erectile dysfunction is a well-known side effect for men taking Adderall, mainly because the medication is constriction of certain blood vessels in the body, directing blood away from the extremities, and increasing the blood supply to other parts of the body, which means that there is a decrease in blood flow to the penis. However; this is temporary.

Typically, once the effects of the medication have worn away, sexual desire and performance return to what was normal for you.

Kindly check with your doctor, because here you have 2 options, either changing the Adderall dose or replacing it with another medication that is unlikely to affect your sexual life, OR trying one of the oral ED medications (like Viagra or Cialis).

I hope this answers your question.

Penile Implants QUESTION:

I was thinking about having penile implant surgery, are they safe and will sex be satisfying?

Thanks, Mark

DOCTOR ALSAYES ANSWER:

Hello Mark,
The penile implants usually used when there is a clear medical cause for ED and when the problem is not improving naturally or with other medical treatments.

There are 2 main types of these implants; semirigid and inflatable. Each type works differently and has various pros and cons.
In most cases, patients report a satisfaction rate of 80%-90% with penile implants as they have erections suitable for intercourse.

However, the placement of penile implants requires surgery, and no surgery is totally free of possible complications or risks, and in this case, they may include:

• Uncontrolled bleeding after the surgery possibly leading to re-operation
• Infection
• Scar tissue formation
• Erosion (tissue around the implant may break down)
• Mechanical failure (The implants consist of many parts that could malfunction, however, the 10-year device survival is between 60 and 80 percent)

I hope this answers your question.

Klonopin and ERECTILE DYSFUNCTION QUESTION:

I’ve been on Klonopin, 2 MG twice a day, since October and suffering from ED for the first time ever. I’m 46. I take Viagra but it seems to do very little. Are there any other options? I’ve been in several romantic settings and couldn’t perform. Very frustrating because that’s never happened before.
Thanks
Zane

DOCTOR ALSAYES ANSWER:

Hello Zane,
Erectile dysfunction is more common when taking Klonopin. Kindly check with your doctor, because here you have 2 options, either changing the Klonopin dose or replacing it with another medication that can be known to cause less effect on ED, OR trying a higher dose of the oral ED medications (like Viagra or Cialis). It can help in this case by increasing the blood flow to the penile tissue thus leading to a better erection. For example, if you tried the dose of Viagra -25 mg and it didn’t cause much success then you may try a dose of 50mg.

Yes, there are other ED treatment options but, in your case, you won’t need that since most probably your issue is related to the medication you are taking (Klonopin)

I hope this answers your question.